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Changes: Colorectal Cancer Decision Support Tool

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Changes: Colorectal Cancer Decision Support Tool

By Jock Hoffman, CRICO

Related to: Claims, Clinical Guidelines, Communication, Diagnosis, Primary Care, Other Specialties

The 2019 Prevention & Early Detection of Colorectal Cancer: a CRICO Decision Support Tool, contains changes or enhancements in the following areas: 

Risk Management

  • Increased emphasis or clearer guidance regarding:
    • patients age 45-50 with known indicators of advanced risk
    • patients age 85 or older
    • inadequate bowel prep (and communication among providers)
  • Simplified screening guidelines for patients at normal risk 

CRICO MALPRACTICE CLAIMS DATA AND EXAMPLES 

  • Updated data on the prevalence of colorectal cancer cases, most frequently named physician specialties, and where in the process of care systems breakdowns occur
  • Updated MPL case examples

Patient Risk Assessment

  • Streamlined the risk assessment process
  • Highlighted shifting risk for patients under age 50
  • Emphasized the increased CRC risk for patients who have a history of non-gastrointestinal malignancies treated with abdominal chemotherapy or radiation
  • Added clarity regard advanced adenomas

MORE FOCUS ON KEY PROBLEM AREAS

  • Added/consolidated content specific to areas of common concern:
    • Patients under age 50 with rectal bleeding
    • Collecting a meaningful history
    • Bowel preparation
    • Screening intervals
    • Coordination of care

ADVANTAGES/DISADVANTAGES FOR COLORECTAL CANCER SCREENING OPTIONS

  • Simplified and reorganized into three tiers per U.S. Multi-Society Task Force
  • Added Cologuard-specific content

PATIENT DISCUSSION POINTS

  • Enhance section regarding bowel prep

References

  • Updated supporting evidence
  • Added recognition of the U.S. Multi-Society Task Force as key reference
  • Added listing of hereditary syndromes

For questions about the CRICO Colorectal Care Management Decision Support Tool, contact CRICO Senior Editor, Jock Hoffman.


October 15, 2019
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